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General NPI Number Information
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NPI Number | 1366592602
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Entity Type | Organization
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Legal Business Name | L M CALDWELL PHARMACIST INC
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 01/20/2011
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Provider Practice Location Address
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Address Line | 235 W PUEBLO ST
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City | SANTA BARBARA
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State | CA
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Zip | 93105-3892
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Country | US
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Telephone | 805-682-7353
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Fax | 805-563-2549
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Provider Business Mailing Address
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Address Line | 235 W PUEBLO ST
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City | SANTA BARBARA
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State | CA
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Zip | 93105-3892
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Country | US
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Telephone | 805-682-7353
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Fax | 805-563-2549
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Authorized Official
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Title or Position | OWNER
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Name | PETER CRAIG CALDWELL
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Credential | PD
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Telephone | 805-965-4528
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY30912
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License Number State | CA
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